TX HHS Form 2810. Youth Empowerment Services (YES) Waiver - Participant Agreement

The TX HHS Form 2810, "Youth Empowerment Services (YES) Waiver - Participant Agreement", is a crucial document that outlines the terms and conditions for individuals to participate in the YES Waiver program. This form must be completed by the participant or their legally authorized representative prior to receiving services.

This agreement requires participants to acknowledge certain responsibilities and expectations, including being an active member of the Child and Family Team, participating fully in the development of their Individual Plan of Care (IPC), and notifying their Wraparound Facilitator when they will miss an appointment. Participants must also agree to the possibility of their IPC being modified at any time by the Child and Family Team.

The form highlights key features such as the participant's freedom to choose their Comprehensive Service Provider (CSP) or Wraparound Provider Organization (WPO), as well as their direct service staff. Additionally, participants must understand that they may be placed in a more restrictive setting if it is determined that they are a danger to themselves or others. The TX HHS Form 2810, "Youth Empowerment Services (YES) Waiver - Participant Agreement", serves as a vital tool for ensuring participant understanding and compliance with the YES Waiver program's terms and conditions.